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Breath of Life Dance Team (BOLD)
Dancer Contact Information
First Name: *
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Last Name: *
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Gender *
Dancer's Phone Number: (if applicable)
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Address of Residence: *
Street, City, Zip
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Phone # of Residence: *
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Primary Contact for Scheduling (at place of residence): *
In order to update and inform of upcoming performances, the primary contact will receive an email and phone call. A reminder email will be sent the day before any performances.
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Primary Contact Phone: *
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Primary Contact Email: *
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Parent/Guardian Name: *
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Parent/Guardian Phone: *
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Parent/Guardian Email:
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